Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00976 | Date 07/09/2018 |
| Token No | SM/18-19/1346 07/09/2018 | Serial | 018 Last Visit: 07/09/2018 |
| Patient Name | Mrs. SAMPA BHATTCHARYA | Contact No | 9433132426 |
| Address | 3, DUTTA PARA LANE | Age | 43.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||